NPI | 1639470743 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE GRAVLEY Owner/President 702-212-3008 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV PY0381) |
Enumeration Date | 2010-11-04 |
Last Update Date | 2010-11-04 |